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TONI PIERCE NP-C
NPI 1699103549
Nurse Practitioner - Family in Washington, DC

Active since October 30, 2013PECOS EnrolledAccepts Medicare Assignment
2300 M ST NW FL 5, WASHINGTON, DC 20037(202) 741-3000 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2019, Feb 20, 2018 (2 updates tracked since 2018).

About Toni Pierce Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONI PIERCE NP-C (NPI 1699103549) is an individual family provider in Washington, District Of Columbia, licensed in District Of Columbia (RN1031952) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Inova Mount Vernon Hospital, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1699103549
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTONI PIERCECredential: NP-C
Location Address2300 M ST NW FL 5Washington, DC 20037-1434
Mailing Address2300 M St Nw Fl 5Washington, DC 20037-1434 · (202) 741-3000
Phone(202) 741-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 30, 2013
Last NPPES UpdateJanuary 24, 20192 updates tracked since enumeration
✔ NPI 1699103549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in DC · RN1031952
Also ListedRegistered Nurse · OrthopedicTaxonomy 163WX0800X · License RN1031952 (DC)
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN1031952 (DC)
2300 M ST NW FL 5, Washington, DC 20037
Open in Google Maps ↗

Secondary Practice Location 1

Location 13924 Minnesota Ave NEWashington, DC 20019-2661 · Phone (202) 398-8683

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Toni Pierce Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012147911
PECOS Enrollment IDI20140220000024, I20251103001181
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
279 services274 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
217 services217 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
39 services39 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services31 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
24 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20037 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
1 supplier15 claims15 services$117.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAYLOR RAFFA MD
Student in an Organized Health Care Education/Training Program
2300 M ST NW FL 5
WASHINGTON, DC 20037
District of Columbia (202) 741-3300
KATHERINE M MCCAULEY
Physician Assistant
2300 M ST NW FL 5
WASHINGTON, DC 20037
District of Columbia (202) 741-3300
ALANA ELIZABETH O'MARA MD
Student in an Organized Health Care Education/Training Program
2300 M ST NW FL 5
WASHINGTON, DC 20037
District of Columbia (202) 741-3311
TERESA DOERRE M.D.
Orthopaedic Surgery (Sports Medicine)
2300 M ST NW FL 5
WASHINGTON, DC 20037
District of Columbia (202) 741-3300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Toni Pierce's NPI number?

The NPI number for Toni Pierce is 1699103549. It was assigned to this individual provider in the NPPES registry on October 30, 2013.

Where is Toni Pierce located?

Toni Pierce practices at 2300 M St NW Fl 5, Washington, DC 20037. The listed phone number is (202) 741-3000.

What is Toni Pierce's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Toni Pierce enrolled in Medicare?

Yes. Toni Pierce is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Toni Pierce affiliated with any hospitals?

According to CMS data, Toni Pierce is affiliated with Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Toni Pierce was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.